| NPI | 1144797838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO MENDOZA Administrator 786-370-8761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2024-08-23 |