| NPI | 1962802405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LORDEUS SAINTUNY Registered Mental Health Counseling 321-276-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-12-26 |