| NPI | 1235578808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS B NELSON Owner 954-789-9061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11689) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2015-10-20 |