| NPI | 1265225403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE OCTA Licensed Mental Health Counselor 305-203-2853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |