| NPI | 1962948323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA TERESA PUENTES Program Director 786-274-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13032) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2026-08-18 |