| NPI | 1639743602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAIMA SANCHEZ VEGA President 305-456-2776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-05-27 |