| NPI | 1588119291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYRA ALTAGRACIA CEPIN PLASENCIO CEO 954-534-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME112745) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2022-07-21 |