| NPI | 1457190605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX MAGNASCO Owner 407-902-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |