NPI | 1205415197 |
---|---|
Entity Type | Organization |
Authorized Contact | OLGA M GUTIERREZ CEO 786-362-2818 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2021-04-07 |
Last Update Date | 2023-04-17 |