| NPI | 1609484278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASIEL CHAVIANO HUERTA Owner 786-306-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-07-25 |