| NPI | 1245507391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIA VELASCO-QUINTERO Clinical Coordinator 786-402-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9459) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7327) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2024-02-02 |