| NPI | 1851126353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALE HARRELL CEO 954-649-5849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 103T00000X Psychologist | |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 225100000X Physical Therapist | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |