| NPI | 1821275843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME T TALLON President 305-817-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL HCC7974) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |