| NPI | 1932884749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NELSON Owner 561-504-4965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |