| NPI | 1972095412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LECSY TANIA HERNANDEZ CEO /Executive Director 786-344-8757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15891) |
| 251S00000X | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2023-09-26 |