| NPI | 1952920746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS NIETO President 786-570-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2020-04-11 |