| NPI | 1962855668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MILENA SALAZAR Owner 239-495-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12686) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2023-12-27 |