| NPI | 1366326068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL TOLEDO President 779-770-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |