| NPI | 1689299703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA CCASTRO Owner 305-766-8064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |