| NPI | 1598385056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILIEVA VALDES President 305-910-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2021-05-06 |