| NPI | 1265251565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUNIA LOPEZ Owner 305-992-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2025-02-26 |