| NPI | 1275702813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIETH ALLEN MITCHELL Director 305-662-2173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH1964) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |