| NPI | 1407131840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIURKA SOTOLONGO Vice President 786-250-8067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6803) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |