| NPI | 1912386665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M CONWAY Licensed Psychotherapist 305-803-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL MH-5106) |
| Additional Taxonomies | 251B00000X Case Management (Licence: FL CAP 1801) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |