| NPI | 1750733689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER HERNANDEZ Owner/Executive Director 305-321-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12306) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 4462) |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2016-07-02 |