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 |