| NPI | 1396820247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A. CORDOVA President 305-644-6024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-05-16 |