| NPI | 1801134705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY C. JEANTY Director 954-895-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2017-04-18 |