| NPI | 1851577423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC RAFAEL CAMPILLO CEO 305-300-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL LMHC9123) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2012-06-11 |