| NPI | 1144023706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITHSUKA PAUL Licensed Clinical Social Worker 305-467-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-03-29 |
| Last Update Date | 2025-03-29 |