NPI | 1831799980 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIO C LLANO Vice President 786-842-3635 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2020-10-28 |
Last Update Date | 2021-10-26 |