| NPI | 1245073832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNYFER ALVARADO Owner 407-686-5385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-07-02 |