| NPI | 1578909131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELLE CARIDAD MALLON Manager 305-753-2671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL lmhc 9366) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-06-25 |