| NPI | 1669983300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALEEM ENRIQUE HERNANDEZ Owner/President 305-257-8065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: Pending) |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2021-03-09 |