| NPI | 1215001615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEYSHA M MENENDEZ-MARTINEZ President 786-391-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6744) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7278) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH3237) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH8155) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-08-17 |