| NPI | 1649674029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINNETTE SANTOS ROBLES Owner 561-307-5843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH12636) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2016-05-25 |