| NPI | 1982449328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE PAYNE Owner 954-240-5291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |