| NPI | 1841730520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA VILLAVERDE Credentialing Manager 786-275-4364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |