| NPI | 1255791729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYNETTE B GREEN Program Director 305-244-8763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2794) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |