| NPI | 1912520263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODERAYS D CALZADILLA TORRENS President 786-512-7964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2021-08-02 |