| NPI | 1578242293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA ACKNER Practice Manager 561-815-2649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207QA0505X Family Medicine, Adult Medicine | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2025-08-29 |