| NPI | 1417644949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA DOMINGUEZ Licensed Mental Health Counselor 786-718-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |