NPI | 1174375497 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH NOEMI DOSORETZ CEO/Owner 239-223-2751 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-04-02 |
Last Update Date | 2024-04-02 |