| NPI | 1922512136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KELLY GORCHOFF Owner/Operator 954-648-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MH13360) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |