| NPI | 1790061570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYLIN BATISTA Clinical Director 786-423-4612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH10092) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2017-03-10 |