| NPI | 1194393389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANA VALLEJO Operations Manager 954-646-9081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-06-14 |