NPI | 1417444605 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS EWALD Manager 954-716-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-04-13 |
Last Update Date | 2018-06-20 |