| NPI | 1891224739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ELYSEE Owner 954-317-9161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH11727) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11727) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2021-03-31 |