| NPI | 1801580113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE MARIN Owner 786-412-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |