| NPI | 1275051740 |
|---|---|
| Former Legal Business Name | BAMBOO COUNSELING SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | WEEDNY ANDRE Owner 305-967-9764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |