| NPI | 1003527094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARNELL COLEBROOK-CLAUDE Owner 954-686-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 133N00000X Nutritionist | |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2023-03-23 |