| NPI | 1043786007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIO RODRIGUEZ President 786-641-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2020-03-03 |