| NPI | 1619642543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA DEL PINO Manager 239-202-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2022-09-01 |