| NPI | 1528956299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE LOPEZ Owner 305-401-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |