| NPI | 1356834089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIESHA MCINTOSH-KASBAR Licensed Psychotherapist 954-245-1819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MH10107) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |