| NPI | 1578380259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANEXCY PUPO MACIAS Owner 786-663-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-10-01 |