| NPI | 1174109516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIXANDRA P QUINTOSA President 786-815-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |