| NPI | 1881419901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MIRONES Member 954-342-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2025-03-07 |