| NPI | 1821369281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE A BAGGE Licensed Psychotherapist 561-254-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL MH 9507) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |