| NPI | 1780528810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID MASON Owner 954-966-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| Enumeration Date | 2026-04-17 |
| Last Update Date | 2026-04-23 |