| NPI | 1457719544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE WYNDELL STALLINGS Owner 561-289-5236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11027) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 4022) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-05-06 |