| NPI | 1477142396 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | ROSSANA MENDEZ Owner 954-793-1981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |