| NPI | 1932688173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH ANDERSON President 561-758-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |