| NPI | 1285177055 |
|---|---|
| Former Legal Business Name | E AND D GERVAIS LLC |
| Doing Business As | BREAKTHROUGH CARE AND RESOURCE CENTER |
| Entity Type | Organization |
| Authorized Contact | DELPHINE GERVAIS CEO 305-494-2798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 305S00000X Point of Service (Licence: FL SW 11931) | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2021-12-27 |