| NPI | 1649733544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A DIAZ Owner 305-400-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 101YM0800X Counselor Mental Health | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2025-06-02 |