| NPI | 1275212573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEOLA WITHERSPOON President 954-274-1053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X | |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2024-01-25 |