NPI | 1407592900 |
---|---|
Entity Type | Organization |
Authorized Contact | CORI-ANNE BONFILIO Founder CEO 407-369-3788 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2022-05-08 |
Last Update Date | 2022-05-08 |