| NPI | 1437580792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIETA GARCIA DE PORTO Clinical Director 786-401-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL HCC10378) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10659) |
| 251B00000X Case Management (Licence: FL HCC10378) | |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2017-10-26 |