| NPI | 1376122283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DECEMBER CRYSTAL NUNEZ CEO 305-603-9731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2022-10-16 |