| NPI | 1639796675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MIRONES Partner 954-342-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2022-07-13 |