| NPI | 1124593751 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ESPERANZA ACOSTA President 786-803-9581  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Additional Taxonomies | 251B00000X Case Management | 
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2018-10-10 | 
| Last Update Date | 2023-03-23 |