| NPI | 1740086560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL NURIEL CEO 321-235-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-12-29 |