| NPI | 1942923933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONELIA FAJARDO President 305-722-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-11-16 |