| NPI | 1053858316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAROSLABA GARCIA Clinical Operations Director 239-537-9646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11374) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2019-12-12 |