| NPI | 1497373013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO GONZALEZ CEO 786-721-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2021-07-01 |