| NPI | 1659010528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE CRUZ SANCHEZ Marriage And Family Therapy 239-205-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-06-07 |