| NPI | 1295225480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLA E SANTIAGO Owner 561-614-5649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MH15943) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |