| NPI | 1720844897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF ROCKER CEO 786-355-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| 163W00000X Registered Nurse | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |