| NPI | 1144044306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANKY NUNEZ Mgr/Administrator 786-713-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |