| NPI | 1619291077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME S TALLON President 305-817-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |