| NPI | 1609676006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAIBISLEIVYS CRUZ President 786-352-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-03-14 |