| NPI | 1780260224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO LUIS CAMEJO President 786-584-8531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2022-08-04 |