| NPI | 1811640592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN PAUL HEINRICHS Cofounder 954-372-6582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-03-16 |