| 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 |