| NPI | 1134633282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELSO WILLIAM CHIGNOLI Owner 305-733-6271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |