| NPI | 1437997756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO CAMPOCASSO Owner 305-502-3438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |