NPI | 1902172216 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAINARD W HINES Licensed Mental Health Counselor 305-804-4205 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-03-30 |
Last Update Date | 2012-03-30 |