| NPI | 1508271461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN STERNER Mft Contractor 321-223-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL IMT 2116) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |