| NPI | 1811506512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO J DIAZ IGLESIAS President 786-641-5972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |