| NPI | 1942531900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN M GARBOWSKI Chief Administrative Officer 772-334-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL 03060136) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 03060136) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2011-05-20 |