| NPI | 1790189405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA DE LA NUEZ CEO 786-797-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL PY7224) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |