| NPI | 1417226754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO URIARTE Therapist 954-333-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5901) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH-10691) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |