| NPI | 1194234302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA BEAUDRY Owner/Primary Therapist 954-815-9186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13096) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2023-03-29 |