| NPI | 1538705751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS ROJAS OLAZABAL President 786-332-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2022-02-22 |