| NPI | 1285953356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE YADIRA PARDILLO Clinincal Director 786-275-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH9761) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |