| NPI | 1982450540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY MALLOY Chief Operating Officer 561-376-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |