| NPI | 1659646453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE FLASTER Owner 954-370-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT415) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW850) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |