| NPI | 1972953941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTINE MARIE QUIROGA CEO 561-571-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12300) |
| Additional Taxonomies | 251S00000X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2019-04-27 |