| NPI | 1558606210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA T. BIRD Agency Director 321-805-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH 5536) |
| 103K00000X Behavior Analyst (Licence: FL 1-05-2139) | |
| 251B00000X Case Management | |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2015-06-02 |