| NPI | 1881005239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ANN SEYLER Director 561-596-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 4863) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |