| NPI | 1861388274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILNISE MATHIEU Director Of Operations 305-771-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 103TF0000X Psychologist Family |
| 103TP2701X Psychologist Group Psychotherapy | |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center Community Health | |
| 261QP2300X Clinic/Center Primary Care | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 103TA0700X Psychologist Adult Development & Aging | |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-13 |