| NPI | 1528628856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY BRANNIGAN Owner 561-402-9655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |