| NPI | 1508589276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JOHNSON Owner 954-842-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP1600X Counselor Pastoral | |
| 251S00000X Community/Behavioral Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |