NPI | 1063152346 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNELIESSE SANTANA HERNANDEZ Owner 786-302-5424 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-04-01 |
Last Update Date | 2022-04-01 |