| NPI | 1891206009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA TOLIBIA Manager 786-291-6564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13964) |
| Enumeration Date | 2017-10-14 |
| Last Update Date | 2017-10-14 |