| NPI | 1518206341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN FYFE Owner 954-817-5825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8645) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 2529) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2019-07-12 |