| NPI | 1063165280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON COLLIN Owner 561-880-7948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-02-01 |