| NPI | 1750750634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE GARZA Psychotherapist 321-403-7036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9492) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |