| NPI | 1417542960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYSLENE VILLALONGA Pmhnp, Owner 786-499-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2021-05-28 |