| NPI | 1992484323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIDY GOMEZ President 786-543-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2025-03-25 |