| NPI | 1164779971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA CAPELLUTO Director 954-881-6099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8261) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |