| NPI | 1063299618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE ALBERTO VALLADARES Owner 407-795-2886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |