| NPI | 1386691418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY M CASE Office Manager 321-724-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2023-06-12 |