| NPI | 1285199893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS PITALUGA Owner 305-807-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2024-02-08 |