| NPI | 1578510129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL VILLA President 305-556-2606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 261qm0801x) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2007-12-04 |