| NPI | 1114760659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMY RODRIGUEZ Owner 786-241-7695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |