| NPI | 1619584521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO VERA Mgrm 305-761-6685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2023-10-04 |