| NPI | 1295311728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELIAN DIAZ ALVAREZ Authorized Official 305-497-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2025-08-28 |