| NPI | 1245582543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE YSRAEL MENDEZ President 407-738-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME107982) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2019-05-14 |