| NPI | 1699152553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MILENA SALAZAR Owner 239-495-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL Sw12686) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2024-07-23 |