| NPI | 1215969712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL ALBA President 786-313-9036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL HCC7084) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-03-24 |