| NPI | 1568041713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS NUNEZ President 786-217-8510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2022-12-15 |