| NPI | 1932852738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH LORENZO Authorized Official 786-720-0492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2026-04-27 |