| NPI | 1750822961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA ANEAS Director 786-238-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 14172) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 13753) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |