| NPI | 1992189070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMY NELSON Chief Executive Officer 954-270-9378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 10889) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |