| NPI | 1508419417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESITA GARCIA-VILASUSO President 786-457-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2024-04-19 |