| NPI | 1780078188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYELLY ALEXANDRA CASAL Owner 863-660-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 12062) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |