| NPI | 1598330698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECA MARTIN Owner/ President 786-510-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-27 |