| NPI | 1164592309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE GUNTIN Administrator 305-513-8565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL HCC5711) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-10-04 |