| NPI | 1548005333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARIA ALVAREZ GARCIA Owner 786-965-0671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |