NPI | 1295393825 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY GARCIA CEO 239-203-8807 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2019-05-29 |
Last Update Date | 2019-05-29 |