| NPI | 1417690967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN JULES JOACHIM President 954-773-3081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2024-02-26 |