| NPI | 1730320227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA N BROOKS Administrator 954-748-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 1706AD900801) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2022-07-21 |