| NPI | 1639444094 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DIANA GONZALEZ-JOYA Licensed Clinical Social Worker 786-229-6074 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2012-03-19 | 
| Last Update Date | 2012-03-19 |