| NPI | 1295200160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO LOPEZ President 786-899-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2024-07-19 |