| NPI | 1871314542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALICIA PREVAL Manger 305-297-8195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-11-20 |