| NPI | 1073146122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIANNY CONCEPCION Executive Director / Tcm Supervisor 305-615-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2021-09-16 |