| NPI | 1235782939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS MATHIS CEO/President 954-478-5835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 101YS0200X Counselor School | |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 104100000X Social Worker | |
| 1041S0200X Social Worker School | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |