| NPI | 1497127294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MANUEL CORREA Proprieter 786-339-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL Sw8004) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |