| NPI | 1407490394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE DOLORES BARANANO CABRERA President 954-388-5814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2021-10-05 |