| NPI | 1912735267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMI QUAZI Chief Operating Officer 863-320-2545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 103G00000X Clinical Neuropsychologist | |
| 1041S0200X Social Worker, School | |
| 103TC0700X Psychologist, Clinical | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2025-09-30 |