| NPI | 1558310169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL B MENDEZ Manager 305-650-4929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-08-30 |