| NPI | 1386053676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL VIDAL CEO 305-827-3252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH5827) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 2321) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |