| NPI | 1306609359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DIAZ DORTA President 786-366-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2026-08-25 |