NPI | 1053904946 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHANNA RODRIGUEZ GARCIA Manager 786-630-3417 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2021-02-11 |
Last Update Date | 2021-04-03 |