| NPI | 1831434489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA CARMEN OLIVARES Mental Health Counselor 321-442-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL MH11233) |
| Enumeration Date | 2012-12-09 |
| Last Update Date | 2016-02-25 |