| NPI | 1760243273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL AVILA QUINTANA Owner 786-304-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-04-19 |