| NPI | 1467669952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA CUTINO Administrator 305-456-9035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-05-03 |