| NPI | 1821718529 |
|---|---|
| Doing Business As | INNOVATION MIND HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | INGRIS MALDONADO Owner 407-744-5447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2024-04-02 |