NPI | 1497565386 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMYRA BONEY CEO/President 407-697-4109 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2025-01-13 |
Last Update Date | 2025-01-13 |