| NPI | 1790590636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DIEGO TAPIA Owner/CEO/Pmhnp 786-877-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |