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 |