NPI | 1639795248 |
---|---|
Entity Type | Organization |
Authorized Contact | ISIAH COLES COO 561-502-3978 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-06-19 |
Last Update Date | 2020-06-19 |