| NPI | 1811599277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRENA MONZON Member 786-342-9092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2024-07-01 |