| NPI | 1285662841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDELYN LOPEZ CEO 305-248-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL HCC4181) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL HCC 4035) |
| 103K00000X Behavior Analyst | |
| 251B00000X Case Management | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL HCC4181) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2021-09-29 |