| NPI | 1386985745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA PATRICIA SALCEDO-SAMPER President 786-260-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL PY8702) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL PY8702) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |