| NPI | 1275062135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSLEY PEREZ CEO 305-877-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2024-04-02 |