| NPI | 1689552325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON HERNANDEZ Managing Member 786-516-5257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |