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 |