| NPI | 1760718910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XUAN STEVENS President 386-243-5228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY 7888) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2022-08-05 |