| NPI | 1073336319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL DIAZ Owner 786-539-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171400000X Health & Wellness Coach | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |