| NPI | 1932732666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES MARTINEZ CEO 786-444-9294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2023-02-02 |