NPI | 1801346010 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA ARBAUGH VP, Payor Services 954-368-0888 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: FL 1706AD031701) |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2016-10-12 |
Last Update Date | 2025-09-16 |