| NPI | 1679150742 |
|---|---|
| Doing Business As | LOYAL CARES |
| Entity Type | Organization |
| Authorized Contact | LISA LELLO Behavioral Health Clinic Director 407-707-9781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 251S00000X | |
| 251B00000X Case Management | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-04-19 |