| NPI | 1861367856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA R COSNER Owner 305-613-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |