NPI | 1396456398 |
---|---|
Entity Type | Organization |
Authorized Contact | IVONNE DREKE CARDIN Owner/President 305-392-0240 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2022-12-09 |
Last Update Date | 2025-09-18 |