| NPI | 1710723721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORIALYS FUMERO Clinical Director 305-879-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |