| NPI | 1609301654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE RUTHERFORD Mental Health Therapist 305-624-7450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL 104ic0700x) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |