| 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 Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2016-02-15 |