| NPI | 1871297184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE VALCOURT Principal 305-764-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 363L00000X Nurse Practitioner | |
| 103K00000X Behavior Analyst | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2026-03-09 |