| NPI | 1538256177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVARO DOMENECH Clinical On Site Coordinator 305-274-3172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-07-21 |