NPI | 1780459719 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEJANDRO MARQUEZ PAYNE CEO 786-424-4070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-11-20 |
Last Update Date | 2023-11-20 |