| NPI | 1689608622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO L LOPEZ Vice President 305-835-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: FL HCC6812) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |