| NPI | 1841916038 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MIRIAM LILIANA PEREZ RODRIGUEZ Owner 786-381-5864  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health | 
| Enumeration Date | 2022-10-18 | 
| Last Update Date | 2022-10-18 |