NPI | 1720540214 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY PELEGRIN Administrator 305-627-5557 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103T00000X Psychologist |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
208D00000X General Practice | |
Enumeration Date | 2019-04-03 |
Last Update Date | 2020-03-11 |