| NPI | 1851051262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO RODRIGUEZ TANQUERO Authorized Official 786-520-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |