| NPI | 1184245144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT LIEBERMAN CEO 772-465-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-05-11 |