| NPI | 1801284278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E FERNANDEZ Owner 407-738-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH12375) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |