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 |
251S00000X Community/Behavioral Health | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2025-05-12 |
Last Update Date | 2025-08-09 |