| NPI | 1538530175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS B NELSON Owner 954-789-9061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11689) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |