| NPI | 1780125542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVICA GREY Therapist 561-702-9147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14835) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2019-06-25 |