| NPI | 1104704592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHALY DORVIL Manager 954-638-6032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-09-01 |