| NPI | 1902228141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODALYS J. WAUGH Mental Health Counselor 305-491-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 8795) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |