| NPI | 1619577475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIA PIMENTEL Owner 786-340-5318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2021-10-13 |