| NPI | 1104613496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA DANIELS Owner, Provider 954-226-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |