| NPI | 1871814566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDIESA SPIRES-ADAMS Clinical Director 321-299-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |