| NPI | 1609200906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE CAMPBELL Owner 954-507-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW8032) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2022-02-23 |