NPI | 1639624711 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLAS I. LEDON Owner 786-514-6362 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH11659) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2023-11-29 |