NPI | 1518309855 |
---|---|
Entity Type | Organization |
Authorized Contact | MONIQUE D WELLONS Executive Director 561-229-1659 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 5042161511701) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
101YP1600X Counselor, Pastoral | |
101YP2500X Counselor, Professional | |
1041C0700X Social Worker, Clinical | |
261QH0100X Clinic/Center, Health Services | |
261QM0801X | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2013-07-29 |
Last Update Date | 2016-02-15 |