| NPI | 1720429608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK EDGARDO JUAREZ MENDEZ CEO 267-253-6588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2020-12-02 |