NPI | 1629669619 |
---|---|
Entity Type | Organization |
Authorized Contact | LAZARO Y BETANCOURT President 239-601-3899 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-02-01 |
Last Update Date | 2022-01-26 |