| NPI | 1043984941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CAPOTE Managed Care Director 305-273-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TF0000X Psychologist, Family | |
| 104100000X Social Worker | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |