| NPI | 1205592680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIUS A MURRAY Mental Health Counselor 954-242-2397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2024-04-09 |