| NPI | 1902451776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO MARTI PADRON Authorized Official 786-482-0495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2021-10-27 |