| NPI | 1598469736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY VARGHESE President 954-228-7856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-06-30 |