| NPI | 1568080562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER ALVARADO Owner 305-871-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2022-01-25 |