| NPI | 1760046585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELLE L BAYARD Manager/ Psychotherapist 954-778-0786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |