| NPI | 1104643709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLIE VAKNIN Owner/Provider 305-209-1198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |