| NPI | 1003911462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELIO TREJO President 786-553-6726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4008) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY5395) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY5395) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY7224) | |
| 163W00000X Registered Nurse (Licence: FL RN3143962) | |
| 207Q00000X Family Medicine (Licence: FL ME67164) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME40304) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |