| NPI | 1992473870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA LAY TEJEDA President 305-562-4396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |