| NPI | 1588178180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODRIGO J. LOZANO Executive Director 786-991-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL SW13005) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |