| NPI | 1093987463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WALSH CEO 954-376-4783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2016-09-02 |