| NPI | 1003581240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY GUEVARA RUIZ President 786-830-4316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2022-07-20 |