| NPI | 1053003384 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MAYRA BURGUERA Psychologist 305-439-6556 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical | 
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-05-24 | 
| Last Update Date | 2023-05-24 |