| NPI | 1417883281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAUNDREA WILLIAMS CEO/Owner 863-337-6233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2026-06-19 |
| Last Update Date | 2026-06-19 |