| NPI | 1932511938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN RAMIREZ Executive Director 321-663-9815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL HCC10102) |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2017-05-03 |