| NPI | 1114201969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY RINDOM Chief Clinical Officer 954-274-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 8804) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |