| NPI | 1457031122 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHRISTINA SULLIVAN Owner/Clinical Director 954-526-4437 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-07-19 | 
| Last Update Date | 2024-12-30 |