NPI | 1902494883 |
---|---|
Entity Type | Organization |
Authorized Contact | AMPARO NIEBLA President 305-465-9379 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2021-01-06 |
Last Update Date | 2021-01-06 |