| NPI | 1356912596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YORDANYS PORTAL Owner 305-479-9713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2025-06-27 |