| NPI | 1356593081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER PROSPERE CEO 786-732-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL mh6701) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL sa3280) | |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2019-11-29 |