| NPI | 1417789074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA VALERIE PERRIER Pmhnp/ Owner 954-663-6016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |