| NPI | 1285952366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA TAURIELLO Office Manager 954-587-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: FL ME52952) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW6206) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |