| NPI | 1669335857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER STOWERS Licensed Mental Health Counselor 321-474-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-12-04 |
| Last Update Date | 2025-12-09 |