| NPI | 1831070051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN I MEDINA Owner 786-306-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |