| NPI | 1740453711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GARCIA Administrator 305-325-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL HCCS111) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2010-09-02 |