| NPI | 1710748926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELLA REID Executive Director 954-559-0632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 221700000X Art Therapist |
| 251S00000X | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |