| NPI | 1285872879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARIE CAGNEY Owner 954-544-4992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH2618) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW8336) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT1579) | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2022-06-28 |