NPI | 1245373232 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK JOSE BALLESTEROS Doctor 305-892-4753 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL ME55074) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2020-08-22 |