| NPI | 1861104242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL CASANAS Manager 786-294-8753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-22 |