| NPI | 1780277533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYAMI HERNANDEZ President 786-760-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2025-01-14 |