| NPI | 1881069151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MARIE ROBERTSON Counselor 863-370-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL RMHCI11654) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |