| NPI | 1013328418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE OCCILIA HENRY Manager 786-426-6137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |