| NPI | 1902536386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES HEREDIA President 305-876-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2024-11-21 |