| NPI | 1659874295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEXY VINOLA Owner 786-713-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2021-09-09 |