| NPI | 1700157617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SUTTON D 786-430-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2013-04-01 |