| NPI | 1255052544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS E MENDEZ LUACES Provider 305-363-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 103K00000X Behavior Analyst | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2025-09-09 |