| NPI | 1376803908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR PAULINO GONZALEZ President 786-317-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |