| NPI | 1609295724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAYAL SUD Founder 786-475-5468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2025-01-16 |