| NPI | 1013742717 |
|---|---|
| Former Legal Business Name | AJM BEHAVIOR WELLNESS CENTER, CO |
| Entity Type | Organization |
| Authorized Contact | MARIETA MANRESA Chief Staff 786-354-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |