| NPI | 1639631302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS RAPPA CEO 561-667-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2020-01-31 |