NPI | 1497355044 |
---|---|
Entity Type | Organization |
Authorized Contact | MALCOLM L THOMAS CEO, Clinician 305-308-2079 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 106S00000X Behavior Technician |
101YP1600X Counselor, Pastoral | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2020-10-30 |
Last Update Date | 2021-09-23 |