| NPI | 1073748695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL RUSSELL CEO 954-587-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy (Licence: FL ME57901) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 1041C0700X Social Worker Clinical | |
| 111N00000X Chiropractor | |
| 133V00000X Dietitian, Registered | |
| 171100000X Acupuncturist | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2011-09-22 |