| NPI | 1194250639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY DENNISSE ALFONSO President 954-436-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6643) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |