| NPI | 1033204946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DHOOGE President CEO 954-390-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME63865) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-09-12 |