| NPI | 1982077608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE BARCHAN Owner 305-949-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL 268033) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME37422) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: FL 5912) | |
| 405300000X Prevention Professional | |
| 247000000X Technician, Health Information | |
| 251B00000X Case Management (Licence: FL MH9051) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2017-03-02 |