NPI | 1124381082 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA R ORTEGA Director 786-592-0940 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MT 2451) |
Enumeration Date | 2012-06-15 |
Last Update Date | 2012-06-15 |