| NPI | 1730713710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA E VEGA Vice President 786-285-3676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |