| NPI | 1871362061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSETTE GIL Owner 305-903-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2025-11-18 |