| NPI | 1770297160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDI JUSTICE President 561-927-9442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-10-26 |