| NPI | 1518774157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEBISI GBADAMOSI Owner/Licensed Mental Health Counse 386-320-2740 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |