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