NPI | 1386295095 |
---|---|
Other Name | LIDERAZGO Y ESTILO DE VIDA, INC |
Entity Type | Organization |
Authorized Contact | ABRAHAM TIRADO AYALA Mental Health Care 863-288-1635 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251300000X Local Education Agency (LEA) |
251B00000X Case Management | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QS1000X Clinic/Center, Student Health | |
276400000X Rehabilitation, Substance Use Disorder Unit | |
282J00000X Religious Nonmedical Health Care Institution | |
Enumeration Date | 2019-09-24 |
Last Update Date | 2021-07-23 |