| NPI | 1699573956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOLIN BENITEZ Owner 305-570-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-07-25 |