NPI | 1770112633 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIO GARCIA Clinical Director 786-255-2747 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-04-03 |
Last Update Date | 2020-04-03 |