| NPI | 1679391353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HINDS Owner 561-730-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |