| NPI | 1720485972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR GONZALEZ Lead Therapist 305-431-2504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW11708) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2015-10-30 |