| NPI | 1023704947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERYNE PUENTES CEO/Founder/Lmhc/Lmft 786-266-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-06-15 |