| NPI | 1619313186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY A BERNAL CEO/CFO 786-303-5079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2024-07-19 |