NPI | 1922018431 |
---|---|
Entity Type | Organization |
Authorized Contact | FALLON DEROSA Director Of Human Resources 321-722-5273 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
103T00000X Psychologist | |
1041C0700X Social Worker, Clinical | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2006-08-08 |
Last Update Date | 2024-04-16 |