| NPI | 1770057671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER ORTIZ President 305-606-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-03-08 |