| NPI | 1861108318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEKECIA JAMIA BENNETT Owner/Therapist 772-834-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-07-06 |