| NPI | 1528428372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL RIOS President 786-717-7656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 208D00000X General Practice |
| 261Q00000X Clinic/Center (Licence: FL HCC10565) | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2021-04-08 |