| NPI | 1861266025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO MORALES Pesident 786-372-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2024-02-22 |