| NPI | 1063692275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MARK ROCKWELL President/Owner 561-477-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW0004553) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-09-30 |