| NPI | 1720026628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS IVAN BERMUDEZ President & CEO 305-824-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251S00000X (Licence: FL P03000086345) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL P03000086345) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-03-25 |