| NPI | 1063844660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLISE BARON Authorized Representative 786-320-8722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2025-04-11 |