NPI | 1558590232 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHRYN M GARBOWSKI Chief Administrative Officer 772-334-9311 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 03060136) |
Additional Taxonomies | 251S00000X (Licence: FL 03060136) |
Enumeration Date | 2009-07-02 |
Last Update Date | 2009-07-02 |