| NPI | 1982486916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUKENS ELIACIN Owner 786-633-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2024-01-31 |