| NPI | 1457528465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R TEITELBAUM Owner 954-704-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH3058) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2012-12-07 |