NPI | 1578231536 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY BIZZARRO Owner 561-452-6567 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2021-09-02 |
Last Update Date | 2021-09-03 |