| NPI | 1033797402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELISE BOYERS Owner/Operator 305-301-6139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 221700000X Art Therapist | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-08-05 |