| NPI | 1942804190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT FLETCHER COARD Managing Partner 321-961-5989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TF0200X Psychologist, Forensic | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-11-29 |
| Last Update Date | 2021-02-09 |