| NPI | 1134510027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE FOURNIER RODRIGUEZ Owner 954-309-0834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH-12929) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |