| NPI | 1558785089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA ROSE-LYN Therapist/Financial Officer 954-708-8328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL 11632) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |