| NPI | 1558876714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA CALDERON Owner 786-250-5874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |