| NPI | 1023604337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO HERNANDEZ President 786-780-8443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2022-04-11 |