| NPI | 1710753223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORBERTO FONSECA COLON Executive Director 407-968-3442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |