| NPI | 1821595281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS WALSH Owner/President 954-376-4783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |