| NPI | 1841989399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA CAROLINA ABRIL-MEDINA Manager 407-301-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-05-02 |