| NPI | 1467609388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HAFNER Register Agent Florida Corp 786-236-7927 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7474) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 2344) |
| 101YP1600X Counselor, Pastoral | |
| 103G00000X Clinical Neuropsychologist | |
| 103TS0200X Psychologist, School (Licence: FL SS888) | |
| 106H00000X Marriage & Family Therapist | |
| 174400000X Specialist | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |