| NPI | 1558192724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS E RAMOS Owner 239-250-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-10-19 |