| NPI | 1396279790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SILVERIO Member 305-984-4483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12417) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |