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 |