| NPI | 1588607246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL OLIVA Owner/Administrator 786-399-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL HCC7040) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC7040) |
| 103T00000X Psychologist (Licence: FL HCC7040) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2021-07-26 |