| NPI | 1790224624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISET FIALLO President 305-283-5497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14095) |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2017-02-12 |