| NPI | 1588275150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSVALDO LEON HERRERA P 305-363-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2023-09-30 |