| NPI | 1932689437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LEE MCINTYRE Lmhc 954-804-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-11-07 |