| NPI | 1982129821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASSET SMITH Licensed Psychologist 954-445-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL PY9755) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2018-06-16 |