| NPI | 1679722268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICARMEN NIEVES President 305-263-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: FL HCC7578) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |