| NPI | 1407155302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GELIANI REINA LOPEZ President 786-262-0346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6878) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 1670) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |