| NPI | 1982080677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SERRA Manager 786-234-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LMHC8687) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-13 |