| NPI | 1629603154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA S TAYLOR-BOONE Owner 786-575-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| 174H00000X Health Educator | |
| 251B00000X Case Management | |
| 251G00000X Hospice Care, Community Based | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2021-08-08 |