| NPI | 1720123185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATYA TEMPRANO Administrator 305-545-6434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL HCC6725) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-05-15 |