| NPI | 1073048310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A RODRIGUEZ President 786-662-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC10974) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2020-10-01 |