| NPI | 1720500671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENAYDA LAFONTAINE Owner 786-447-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 1-05-2603) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2022-07-21 |