| NPI | 1336622489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BERRY CEO 305-338-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |