| NPI | 1043462757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A FORAKER Executive Director 561-366-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7843) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |