| NPI | 1730876418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA HAMMOND Licensed Mental Health Counselor 321-926-1509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |