| NPI | 1265840219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON HARRIS Therapist 954-552-9773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH 11597) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |