| NPI | 1093349185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP SOLOMON President 954-210-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |