| NPI | 1669402012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANELY MARIN President Owner 786-762-2415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-08-18 |