NPI | 1700401643 |
---|---|
Former Legal Business Name | LOTUS HEALTH & COUNSELING CENTER LLC |
Entity Type | Organization |
Authorized Contact | DANIURYS REGALON Owner 786-574-0261 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QM1300X Clinic/Center Multi-Specialty | |
261QP2300X Clinic/Center Primary Care | |
Enumeration Date | 2020-06-16 |
Last Update Date | 2020-09-30 |