| NPI | 1598427866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAMS JOSE LUCENA Authorized Official 305-778-6795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |