| NPI | 1508213570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA LUCIA ALVAREZ R.B.T 786-346-7605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 15-01490) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |