| NPI | 1639705759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER JOYCE Owner 321-613-8685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |