| NPI | 1841455334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LAFEHR BOLLINGER Clinical Director 561-630-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH-402) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2009-06-17 |