| NPI | 1013164417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES PUENTES Therapist 305-225-4432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: FL MH8438) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |