| NPI | 1972478931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIA TIKHONRAVOVA Owner, Clinical Director 954-253-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-12-03 |