| NPI | 1386418960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIAZA KNOWLES Owner 561-229-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |