| NPI | 1326353780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE TAPANES Director 786-234-4977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |