| NPI | 1053151902 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | VILMA GARRIDO RIQUENES License Mental Health Counselor 786-234-1609 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health | 
| Enumeration Date | 2024-05-29 | 
| Last Update Date | 2024-05-29 |