| NPI | 1316517816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO J ANZOLA LUCENA Authorized Offical 786-832-1388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |