| NPI | 1174575708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO HERNANDEZ Clinical Director 305-270-5305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: FL HCC5151) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-06-02 |