| NPI | 1093382137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BUNCE President 786-457-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2024-04-22 |