| NPI | 1073123816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAILYN E ALONSO PERDOMO President 786-340-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |