| NPI | 1124155742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA D CONNAN Lmhc 561-929-4727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 6098) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH 6098) |
| 101YS0200X Counselor, School (Licence: FL MH 6098) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-02-20 |