| NPI | 1770219164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA SULLIVAN Owner 954-440-2483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |