| NPI | 1063132538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE-LEE CONNER Owner 561-389-9758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2024-09-03 |