| NPI | 1831638881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED KREISBERG Psychotherapist/ Owner 954-895-7243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 10854) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |