| NPI | 1083069132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEN RODRIGUEZ Owner 786-613-7160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2026-02-16 |