| NPI | 1821895772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYESHA SOTO Owner 786-244-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |