| NPI | 1518324722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET SANTIAGO President 772-626-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10997) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW10997) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |