| NPI | 1649865999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA TERESA ILLANA CEO 786-356-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2023-01-11 |