| NPI | 1063217107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MORALES President 786-360-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-06-06 |