| NPI | 1770106379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORGIS GONZALEZ REINOSO Owner/President 786-424-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2024-05-17 |