| NPI | 1730750514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE HERNANDEZ Owner 786-360-4353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-08-25 |