| NPI | 1891331559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEMI MARQUEZ Director 786-346-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |