| NPI | 1215462288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIZYL F DAMAYO Owner 941-347-8341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL ME114111) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2024-01-25 |