| NPI | 1962337667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDEIDRE A MILORD Licensed Mental Health Therapist 754-255-1723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-06-15 |
| Last Update Date | 2026-07-20 |