| NPI | 1568035269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY A BERNAL CEO 786-303-5079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-07-19 |