| NPI | 1174491831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYSA MARIA MACHADO FLEITES President 786-556-2541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2026-04-09 |