| NPI | 1760928402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WALKER Manager 954-536-7735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1260) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH1622) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |