| NPI | 1558492090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISIDRO ZAVALETA Executive Director 321-635-9535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2018-11-20 |