| NPI | 1225485105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTRELLA GARCIA Rbt 786-556-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL RBT1506500) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-25 |