| NPI | 1770591836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGALY D GOMEZ Owner 305-888-5730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2009-06-10 |