| NPI | 1396330858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTWAN MCKENZIE-PLEZ Owner 954-412-9698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-03-07 |
| Last Update Date | 2021-12-03 |