| NPI | 1629789391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE PEREZ Owner 786-971-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2025-01-10 |