| NPI | 1528657616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA INGUANZO President 786-590-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |