| NPI | 1477724532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSETTE L GONZALEZ Owner 305-264-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 2517) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |