NPI | 1255407920 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN R REYES President 305-649-6625 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2007-08-11 |