| NPI | 1639621568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIANIS JALIERIS CRUZ Owner 407-288-6417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MH 14082) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |