| NPI | 1457839680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI RANDERSON Lmhc/Lmft 954-227-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |