| NPI | 1477221786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND CASTILLO Owner/Manager 954-865-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-11-19 |