| NPI | 1326673492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALAN WEBER President 954-661-6225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2021-03-26 |