| NPI | 1528313673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FULGENCIA VEGA-GOINS Lmhc 239-273-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4719) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |