| NPI | 1225608755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN WOLF Owner/CEO 954-806-9308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 106H00000X Marriage & Family Therapist | |
| 111N00000X Chiropractor | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-08-04 |