| NPI | 1801592043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIKEL LEYVA Owner/ Director 305-469-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-03-27 |