| NPI | 1063160513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORELVYS MADRUGA Owner 786-536-7588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 207Q00000X Family Medicine | |
| 208D00000X General Practice | |
| 225100000X Physical Therapist | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2024-11-20 |