| NPI | 1609380526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBI A. S. DOUGLAS Licensed Mental Health Counselor 954-534-1537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12988) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MCAP100339) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |