| NPI | 1447701842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX DIAZ President 786-536-9714 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW7519) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |