| NPI | 1770185308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY CROMARTIE Director Of Operations 321-446-7150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |