| NPI | 1285301572 |
|---|---|
| Former Legal Business Name | MENTAL AUTONOMY, INC. |
| Entity Type | Organization |
| Authorized Contact | LUIS PEROZO Officer 954-906-5947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-02-08 |