| NPI | 1083066971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADIANE PEREZ Manager 305-244-5085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 10803) |
| Additional Taxonomies | 251S00000X (Licence: FL BACB 1-15-21803) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2023-06-22 |