| NPI | 1407300387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNABEL RODRIGUEZ Owner 786-970-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 14366) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |