| NPI | 1760970099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL LOZADA-SOLBERG President 305-409-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-08-14 |