| NPI | 1538986831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA BERT Interim CFO 954-473-7483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-10-11 |