| NPI | 1942097092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIHANNA FUNDORA CEO 786-830-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-23 |