| NPI | 1699263327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL ROTH Lmhc/Owner 561-740-5642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 14604) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |