| NPI | 1770596223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR DE LA CRUZ President 305-471-7353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: FL HCC7103) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-01-08 |