| NPI | 1740815794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYREN FRAGUELA-LAM CEO/Administrator 786-344-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-11-14 |