| NPI | 1619497534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PAUL LANDAU Assistant Clinical Director 305-858-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9225) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-07-19 |