| NPI | 1407698236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RUIZ Manager 786-280-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2025-05-16 |