| NPI | 1144649781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARDO ALBERTO INCLAN B Ca Ba 305-227-7082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 0041424) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |