NPI | 1205180031 |
---|---|
Entity Type | Organization |
Authorized Contact | AUBREY K. EWING President/Clinical Director 561-742-7122 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0000454) |
Additional Taxonomies | 103T00000X Psychologist |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2012-10-31 |
Last Update Date | 2012-10-31 |