NPI | 1851861934 |
---|---|
Entity Type | Organization |
Authorized Contact | RIGOBERTO CORDERO Owner 786-970-9843 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 207Q00000X Family Medicine |
251S00000X | |
261Q00000X Clinic/Center | |
Enumeration Date | 2018-11-30 |
Last Update Date | 2021-06-08 |