| NPI | 1396354270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY FLIERL Owner/Provider 772-486-9109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2024-10-24 |