| NPI | 1992116651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA D HADIDA-HASSAN Sole Provider 305-206-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL csw 3002) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |