| NPI | 1770511479 |
|---|---|
| Doing Business As | HOMESTEAD BEHAVIORAL CLINIC, HBC |
| Entity Type | Organization |
| Authorized Contact | AIDELYN LOPEZ President Administrator 305-248-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL HCC4181) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2018-06-07 |