NPI | 1073122701 |
---|---|
Entity Type | Organization |
Authorized Contact | RAUL OTONIEL GONZALEZ Owner 305-218-9447 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2020-07-28 |
Last Update Date | 2022-01-20 |