| NPI | 1639592363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE A SOTO President 305-796-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH2568) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |