| NPI | 1316366933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE LOUISE NESBITT Owner 954-592-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12377) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2015-11-02 |