| NPI | 1013662311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS M NAPOLES PAJON Owner 863-233-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |