| NPI | 1043537160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SORAYA MELEGI Clinical Director 786-536-9714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: FL SW 7519) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2023-02-28 |