| NPI | 1952432213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OREN M. HERNANDEZ Director 954-753-1552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-09-10 |