| NPI | 1487533642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY HALL Owner/President 321-557-4934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-30 |
| Last Update Date | 2025-08-30 |