| NPI | 1255872206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALLIE FLEISCHMAN Owner 954-658-9482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI mhc00715) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |