NPI | 1134904741 |
---|---|
Entity Type | Organization |
Authorized Contact | JESUS ASPIRO MATINEZ Owner 786-542-5244 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 208D00000X General Practice |
251B00000X Case Management | |
261QR1100X Clinic/Center, Research | |
Enumeration Date | 2023-08-30 |
Last Update Date | 2025-05-16 |