| NPI | 1548305808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARTINEZ Clinical Supervisor 305-756-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5195) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |