| NPI | 1699033381 |
|---|---|
| Other Name | SPANISH RIVER COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | BRENT GRAY Clinical Director 561-241-9014 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY6752) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |