| NPI | 1932614799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA M FUENTES President 786-732-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH13706) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2017-12-02 |
| Last Update Date | 2024-06-10 |