| NPI | 1437770542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JOSETH MIRANDA-TOURINO President 954-295-5526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2026-01-19 |