| NPI | 1073362299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS GONZALEZ CEO/President 786-209-8966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |