NPI | 1487322293 |
---|---|
Entity Type | Organization |
Authorized Contact | JESUS RAMOS Mgr 239-250-9411 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251B00000X Case Management |
Enumeration Date | 2021-09-06 |
Last Update Date | 2023-12-14 |