| NPI | 1114202728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBY GOTTLIEB President 954-328-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW10552) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW10552) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-12-12 |