| NPI | 1992594766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVELICE D LOZANO OLIVER Owner 786-755-2953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| 208D00000X General Practice | |
| 225X00000X Occupational Therapist | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 261Q00000X Clinic/Center | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 101YM0800X Counselor, Mental Health | |
| 207Q00000X Family Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-17 |