| NPI | 1790153534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE TREADWELL THOMPKINS Mental Health Therapist 954-607-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH 12970) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |