| NPI | 1366232308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARTINEZ Owner 786-779-1690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2026-01-26 |