| NPI | 1679762413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIELA PEREZ Licence Mental Health C 561-358-9414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9077) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2011-09-16 |