| NPI | 1982170700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS RAFAEL PEROZO Officer 954-906-5947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2026-01-29 |