| NPI | 1124567961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCY ANN LACOMBE Owner 954-282-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13212) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |