| NPI | 1689190274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LANGHEIM Mgr 561-325-3389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12776) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH12776) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |