| NPI | 1396100657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE MCDONALD Lcsw/President 772-361-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL SW12224) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2017-04-26 |