| NPI | 1902077159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE REARDON President 954-796-7415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL lmhc1607) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |