| NPI | 1124205828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN FYFE COO 561-296-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2015-06-03 |