| NPI | 1356726178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA MARIA MOYANO Owner 954-232-0507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 9662) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |