| NPI | 1548763170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA GONZALEZ Owner 305-318-8976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2025-02-26 |