| NPI | 1992370175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEIDYS GONZALEZ SANTANA Owner 786-768-9985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |