| NPI | 1508590076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARTUN S MOHAMUD Owner And Clinic Director 561-463-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |