NPI | 1639714793 |
---|---|
Entity Type | Organization |
Authorized Contact | DOMINIQUE C LEVEILLE Lmft 305-922-3436 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2019-11-13 |
Last Update Date | 2022-02-15 |