| NPI | 1861918260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHAFFIN Licensed Psychotherapist 954-380-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13783) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-27 |