| NPI | 1841812021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE D BROWN FAUST Executive Director 561-899-9140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 207Q00000X Family Medicine | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2024-04-03 |