| NPI | 1558969139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMAS TOLEDO President 239-269-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251B00000X Case Management | |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2021-10-27 |