| NPI | 1114536810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEISA HERNANDEZ Owner 786-484-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |