| NPI | 1265815351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA PATTERSON Owner 954-258-8845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL mh10243) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH10243) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2023-12-06 |