| NPI | 1871137679 |
|---|---|
| Former Legal Business Name | MIND AND BODY REHAB MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | ABEL AVILA President 786-251-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2021-09-22 |