| NPI | 1831791987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVON LEON President & CEO 786-210-5740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |