| NPI | 1417466442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA MARIA SWONGER Owner 407-953-4453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH11217) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2022-07-21 |