| NPI | 1831735950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE MARTIN CEO 786-239-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2019-11-24 |
| Last Update Date | 2023-12-06 |