| NPI | 1851141022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YILIAN J MONTES DE OCA Director 772-607-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |