| NPI | 1831741842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLISE BARON President 786-410-0998 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2021-07-20 |