| NPI | 1366140477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL PRESTIA Owner 954-651-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-09-05 |