| NPI | 1144681784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CARRILLO Owner 305-562-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12719) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |