| NPI | 1649856089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KLEMNYS ROMERO Vice President 305-928-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2022-03-14 |