| NPI | 1063854834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BENREY OJALVO Therapist/President 305-705-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL SW5934) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW5934) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |