| NPI | 1063307643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET CRISP Psychotherapist 954-802-4946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 1041S0200X Social Worker, School | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-09-15 |