| NPI | 1275038416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA MALDONADO President 407-233-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH12067) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-08-17 |