| NPI | 1992403562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSDANI RODRIGUEZ Owner 786-350-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2025-10-11 |