| NPI | 1083542351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEOLA WITHERSPOON Executive Director 954-914-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 103K00000X Behavior Analyst | |
| 251S00000X Community/Behavioral Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2026-05-08 |
| Last Update Date | 2026-05-08 |