| NPI | 1033650221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KLEYDSON NEVES DA SILVA Manager 786-205-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 208D00000X General Practice | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2022-11-30 |