| NPI | 1609384742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE HUESO Owner 786-393-2236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL SW11770) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2020-11-17 |