| NPI | 1558563593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLIA PEGUERO President 954-443-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL sw 6289) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL sw 6289) |
| 101YM0800X Counselor, Mental Health (Licence: FL sw 6289) | |
| 106H00000X Marriage & Family Therapist (Licence: FL sw 6289) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |