| NPI | 1407193873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA GENZONE Mental Health Therapist 561-444-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 8474) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 4672) |
| Enumeration Date | 2013-01-05 |
| Last Update Date | 2013-01-05 |