| NPI | 1932636115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY QUAKA Therapist 561-306-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14576) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |