| NPI | 1386402444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUANLY M ASCUNCE GOMEZ Ambr 786-236-8627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-09-05 |