| NPI | 1477021574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIRIM GONZALEZ President 786-216-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2022-06-06 |