| NPI | 1366957888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANA-STELLA NANCY EUGENE Owner 305-414-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW13027) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |