| NPI | 1578346227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH COOPER CEO 772-971-9197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |