| NPI | 1174055289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARDIA RAMOS Owner/President 305-510-7381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X (Licence: FL IMH15781) |
| 251S00000X (Licence: FL IMH13783) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2020-07-29 |