| NPI | 1699412858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTARA BUSSEY-MARTIN CEO/Owner 786-217-5462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2024-01-12 |