| NPI | 1295050292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVETTE FLORES Licensed Mental Health Counselor 305-310-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL MH 9234) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |