| NPI | 1922424712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL LOPEZ DE VICTORIA Owner/Director 786-299-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9101) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |