| NPI | 1114988607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MARIE BOLAND Owner 954-577-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL ARNP1838792) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1542) |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2020-08-22 |