| NPI | 1457242497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA T MORA Manager/ Owner 239-692-2539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-07-09 |