| NPI | 1588155493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMES HERRERA Owner 786-286-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-12-07 |