| NPI | 1023749454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDIA A MARTINEZ Owner 786-565-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-06-17 |