| NPI | 1457031122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA SULLIVAN Owner 954-526-4437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2025-11-18 |