| NPI | 1255619714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULO LAZARO President 305-206-2899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5258) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW5258) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |