| NPI | 1710601943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED CINTRON Credentialing 561-235-7683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 363A00000X Physician Assistant | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-09-30 |