| NPI | 1972860278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SORAYA MELEGI Direcotr 786-536-9714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL mh9983) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2024-02-06 |