| NPI | 1174343248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO OSCAR BARDINAS RODRIGUEZ Vice President 786-712-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2025-06-27 |