| NPI | 1730893132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS GONZALEZ President 786-229-2614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |