| NPI | 1659324523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY GESSLER Executive Director 321-242-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 2665) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |