| NPI | 1083216022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS AGUILAR Owner/President 786-332-3136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2300X Clinic/Center Primary Care | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2025-08-14 |