| NPI | 1972903524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMARILYS PEREZ President 786-200-7425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 251B00000X Case Management | |
| 251S00000X | |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2020-10-15 |