| NPI | 1396177390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA CARRION CERPA Licensed Clinical Social Worker/Mgr 305-335-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW2171) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11707) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |