| NPI | 1730795311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO MOLINA RODRIGUEZ Owner/President 754-234-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2024-04-10 |