| NPI | 1588422208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURY YAKUBCHYK President 786-316-9685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-06-25 |