| NPI | 1982118618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAAKIRA SIMMONDS Therapist 954-445-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008864) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2018-08-01 |