| NPI | 1992017016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE OTERO President 786-253-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH9657) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH9657) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |