| NPI | 1578970778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL W. BIANCO Licensed Mental Health Counselor 954-850-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL MH8725) |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2014-07-20 |