| NPI | 1285400515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAILYN HERNANDEZ Owner/ Officer 786-228-7801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251B00000X Case Management | |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2024-05-31 |