| NPI | 1841807971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN CABRERA Owner 772-266-3706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2023-03-07 |