| NPI | 1124328588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERMAN LUNA Owner/ Director 786-267-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 05-1856) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |