NPI | 1801541453 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY LUCIA PEREZ Licensed Mental Health Counselor 239-710-3315 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-02-12 |
Last Update Date | 2022-02-12 |