NPI | 1366253064 |
---|---|
Entity Type | Organization |
Authorized Contact | AUDREY STEPHANIE SUAREZ AVILES Clinical Director 786-340-5830 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2025-01-14 |
Last Update Date | 2025-01-14 |