| NPI | 1205131786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BOURSIQUOT President 561-337-3647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL sw5848) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |