| NPI | 1114129434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE HERNANDEZ President 305-822-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2018-08-07 |