| NPI | 1770963829 |
|---|---|
| Former Legal Business Name | DYNAMIC COUNSELING, LLC |
| Entity Type | Organization |
| Authorized Contact | GRACE MARQUEZ Chief Executive Officer 954-368-5819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL MH8046) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-09-23 |