| NPI | 1609724962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE ENRIQUE CAMACHO CORDOBA Mental Health Counselor 954-605-2851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-03-20 |
| Last Update Date | 2026-03-20 |