| NPI | 1801362793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMELINDA OLIVIA ROMERO Owner 786-707-9958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2022-07-26 |