| NPI | 1366019481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF ROCKER CEO 786-355-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |