| NPI | 1942753785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO PUENTE President 786-999-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8438) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |