| NPI | 1780290627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIXA PEREZ ALBA Manager 305-762-0840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2021-10-20 |