| NPI | 1205664729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAILET HERNANDEZ Owner/Administrator 786-769-5046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-10-01 |