| NPI | 1619467222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL D ACOSTA Licensed Mental Health Counselor 561-704-3207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2023-09-25 |