| NPI | 1740814458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSUE ACOSTA President 954-274-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2021-12-20 |