| NPI | 1083395040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAROSLABA GARCIA Owner 239-737-9646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |