| NPI | 1982107538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAQUELINE PARDILLO Owner 786-229-6589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 1041C0700X Social Worker Clinical | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2021-01-06 |