| NPI | 1992744395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA ANNE SHOEMAKER Director 561-368-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 0002461) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: 00773) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 23187) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-06-18 |