| NPI | 1013170661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MIGUEL ORTIZ Administrator 786-426-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: al10283) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |