| NPI | 1053462119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS EDUARDO PLASENCIA President 954-436-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0002618) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS757) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW8336) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT0001579) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |