| NPI | 1073983169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISVET ALVAREZ RODRIGUEZ President 305-582-5735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2021-05-24 |