| NPI | 1962380659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA DOUGLAS President 954-544-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261Q00000X Clinic/Center | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-08-22 |