| NPI | 1386493674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSTON T. MOSS President 954-324-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-11-30 |