| NPI | 1740763077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI AVERY IFILL Licensed Mental Health Counselor 954-899-8018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |