| NPI | 1013721018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN DIAZ GOMEZ Owner 407-906-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |