| NPI | 1730768797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARELIA MARIA FERNANDEZ President 239-298-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-05-12 |