| NPI | 1164190682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA GALLERANI Owner 954-862-2252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |