| NPI | 1982267738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OHILDA SANCHEZ Owner 786-470-9404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2021-06-09 |