| NPI | 1649002445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYARKIS CAMPOS LOPEZ Owner 786-515-4397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |