| NPI | 1518457126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIA NOSIKOVSKY Manager 786-490-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2021-01-20 |