| NPI | 1255948816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAQUELYN MARTINEZ President 407-485-2182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2021-08-05 |