| NPI | 1245061746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS MARIO MOLINA Mgr 786-294-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |