| NPI | 1023470648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA POTTER Licensed Mental Health Counselor 561-267-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH7817) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |