| NPI | 1336949536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO C LOPEZ President 786-972-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-09-12 |