| NPI | 1902557267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA AZUCENA Owner 305-753-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-12-20 |