| NPI | 1568087559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISIAH COLES COO 561-502-3978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2023-11-02 |