| NPI | 1972935369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS J SUAREZ President 305-408-9649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH9490) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |