| NPI | 1871317495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYDIBIS BLANCO ALONSO Owner 786-380-8375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2025-06-20 |