| NPI | 1659822567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESICA RUSZ PAGLIONE DE ELIAS Owner 954-446-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |