NPI | 1811555790 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE TARAN ECKLER Owner 954-314-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2019-06-05 |
Last Update Date | 2019-06-05 |