| NPI | 1871834440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KRISTEN PELAEZ Owner 954-593-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL LCSW10672) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |