| NPI | 1659515682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL M PEREZ President 305-505-3714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH9815) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL SS708) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |