| NPI | 1174995609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDY MARCIAL President 786-290-9192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ARNP9231287) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QH0100X Clinic/Center, Health Services (Licence: FL ARNP9231287) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2024-04-30 |