| NPI | 1619856457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER ALEIDA HARDEE Mental Health Therapist 863-738-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |