NPI | 1043892888 |
---|---|
Entity Type | Organization |
Authorized Contact | ORELVYS MADRUGA CEO 786-294-8984 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 103K00000X Behavior Analyst |
207Q00000X Family Medicine | |
208100000X Physical Medicine & Rehabilitation | |
208D00000X General Practice | |
225100000X Physical Therapist | |
251B00000X Case Management | |
251S00000X | |
261QH0100X Clinic/Center, Health Services | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2021-04-21 |
Last Update Date | 2024-11-20 |