| NPI | 1851195796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZARDIE R GALLO Owner 786-344-5846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |