| NPI | 1760463236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY COLEMAN President & CEO 954-370-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2024-09-20 |