| 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 | 261QR1100X Clinic/Center, Research |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |