NPI | 1780286393 |
---|---|
Former Legal Business Name | POINCIANA BEHAVIORAL HEALTH CLINIC, INC. |
Entity Type | Organization |
Authorized Contact | EULADIA MERCADO Owner 407-572-8862 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2020-11-10 |
Last Update Date | 2020-11-10 |