| NPI | 1366901456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENSY ACOSTA Manager 305-606-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103K00000X Behavior Analyst | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |