| NPI | 1497531529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KARLE CEO 321-586-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |