| NPI | 1902633225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA SOLIS Manager/Owner 772-275-9704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 103TC0700X Psychologist, Clinical | |
| 103TF0200X Psychologist, Forensic | |
| 104100000X Social Worker | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |