| NPI | 1447700026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSETTE LEON Owner 786-250-4169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL PY9557) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |