| NPI | 1801294889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA M MEJIA Lcsw 786-255-7056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP3394092) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH 10424) |
| 1041C0700X Social Worker Clinical (Licence: FL SW 10556) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |