| NPI | 1750163614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA FERNANDEZ RICHARDSON Owner 305-930-5690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2024-11-20 |