| NPI | 1518771427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA SANTOS Owner 786-562-4885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |