| NPI | 1366985764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN LIDIA BOLIVAR CEO 305-707-8615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2024-03-20 |