| NPI | 1821888413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK ACOSTA HEREDIA Owner 561-325-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-07-23 |