| NPI | 1982757894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPAHNIE BRAUN Vice President 772-589-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MT1486) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |