| NPI | 1578380309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANIA MERCEDES SIMON President 786-310-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2025-12-16 |