| NPI | 1902382625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH G. BENOVIC Manager 305-934-7638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL SW14827) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2019-11-15 |