| 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 |