| NPI | 1376270256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ELMA Owner 954-278-0487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |