| NPI | 1205289402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MOCK Owner 561-827-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2024-03-29 |