| NPI | 1639008535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY TAIT- MOSS SVP 954-380-1507 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2026-05-16 |
| Last Update Date | 2026-05-16 |