| NPI | 1295542512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN LANSAT Owner 561-373-4697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |