| NPI | 1770762676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIELA OTERO President 954-321-3977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL HCC7878) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2008-05-06 |