| NPI | 1003104308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA LOPEZ-BRINKERHOFF CFO / Clinical Director 954-835-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH8045) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH8045) | |
| 101YP2500X Counselor, Professional (Licence: FL MH8045) | |
| 101Y00000X Counselor (Licence: FL MH8045) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2019-09-25 |