NPI | 1841861440 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTAL POLLACK Co President 321-765-9089 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-07-05 |
Last Update Date | 2021-07-05 |