| NPI | 1700183761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA AYALA-ST.CHARLES Psychotherapist 954-234-8278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5991) |
| Enumeration Date | 2011-02-27 |
| Last Update Date | 2011-02-27 |